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 Patient 1 Pre-Operative |
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Gynecomastia is a medical term that comes from the Greek word for "woman-like breast." It is actually quite common in men and may affect one or both breasts. Anabolic steroids and some medical problems have been linked with male breast over-development, but for the majority of cases the cause is not known. For men who feel self-conscious about their appearance, breast reduction procedures can help. The procedure removes fat or glandular tissue from the breast and, in extreme cases, removes excess skin resulting in a flatter, firmer, and more contoured chest. The best candidates for gynecomastia correction are men of any age who are healthy and emotionally stable. Surgery is generally discouraged for overweight men who have not first attempted to correct the problem with exercise or weight loss. Individuals who consume alcohol in excess or smoke marijuana are not considered good candidates. Gynecomastia surgery can enhance your appearance and self-confidence, but it won't necessarily change your looks to match an ideal. Before you decide to have surgery think carefully about your expectations and discuss them frankly with Dr. Burt Greenberg. The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you will be very satisfied with your new look. Planning your surgeryDr. Burt Greenberg will give you specific instructions to prepare for surgery. Generally, you should avoid aspirin containing compounds, Vitamin E, and should stop smoking for a minimum of two weeks prior to surgery and, of course, during the recovery. The procedure is performed in Dr. Burt Greenberg's facility, The Great Neck Cosmetic Surgery and Laser Facility, which is accredited at the highest level ("C" level) by the American Association of Ambulatory Surgical Facilities (AAAASF). The surgeryGeneral anesthesia is used and provided by board-certified anesthesiologists who work exclusively with Dr. Burt Greenberg. Generally, liposuction is used with an incision placed at the junction of the areola (darkly pigmented skin around the nipple) and the native chest wall skin. Alternatively, should the patient not be a candidate for the liposuction only procedure, an incision is made in an inconspicuous location, either on the edge of the areola or under the arm area. Dr. Burt Greenberg removes the excess glandular tissue, fat, and skin around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions resulting in more conspicuous scars. This is the rare exception. Following the procedure, a small drain is often inserted through the incision to draw off excess fluids. The chest may be wrapped with an ace wrap or garment to keep the skin firmly in place and to help speed the healing process. After your surgeryYou will feel some discomfort for a few days following the procedure. The discomfort can be controlled with prescribed medications, such as Vicodin, Percocet, and Tylenol #3. You will be swollen and bruised for a while and may, in fact, wonder whether there has been any improvement at all. The use of the ace bandage and compression will speed this process significantly. Patients generally require several days off from work and must avoid any activity that may risk a blow to the chest area for at least four weeks. It will take about one month before normal activities can be resumed. You should avoid sun exposure for at least six months. Sunlight can permanently affect the skin's pigmentation causing the scar to darken. If sun exposure is unavoidable, Dr. Burt Greenberg recommends a #30 sunblock or higher. |
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BURT GREENBERG,
MD. FACS
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